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There are several procedures that are used in pain management. The various procedures vary from conservative non-invasive treatments to surgery. The type of treatment used is dependent upon the level of pain along with the cause. Most doctors treat back pain with the simple non-medical treatments first, before resorting to medication and also other procedures. The patient's specific condition will determine the method that will be the most suitable, but doctors will invariably begin with the treatment plans which are not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased probability of cardiovascular events, especially if used for a longer duration of time and doses. It is still unclear as to the extent in the risk and the way the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients need a laminectomy, , involving removal of the entire lamina. Most doctors do not recommend surgery to take care of back pain due to the risks involved. If, however, it is crucial, they must ensure that the patient is in a healthy enough condition to extract fully. Surgery is often reserved for people who are healthy and relatively younger, because they are more likely to have complete recovery. Other patients demand a laminectomy, involving removal of the whole lamina. Most doctors don't recommend surgery to help remedy back pain as a result of risks involved. If, however, it's important, they must ensure that the individual is in a proper enough condition to recuperate fully. Surgery is often available to people who are healthy and relatively younger, because they are more likely to have complete recovery. One of the first treatment plans utilized on those experiencing back pain is exercise. It is usually used when the patient has mild to moderate lumbar pain. The exercises used mostly are non-weight exercises that are recommended by physiotherapists. It is important to not put excessive pressure around the back through the exercises. Water exercises or swimming usually are especially beneficial. Those who have went through various pain management procedures without experiencing relief routinely have to go through surgery. There are different surgical procedures done depending on the location from the problem and the condition with the patient. Patients with disk problems are often the discectomy procedure, which involves removing a portion of the disc nucleus to relive pressure.